PDF
Word
Form HFS2803 (IL478-1530) Optical Prescription Order - Illinois
What Is Form HFS2803 (IL478-1530)?
This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HFS2803?
A: Form HFS2803 is the optical prescription order form used in Illinois.
Q: What is the purpose of Form HFS2803?
A: The purpose of Form HFS2803 is to order optical prescriptions in Illinois.
Q: What information is required on Form HFS2803?
A: Form HFS2803 requires information such as patient details, prescription information, and provider information.
Q: Do I need to fill out Form HFS2803 to get an optical prescription?
A: Yes, in Illinois, you need to fill out Form HFS2803 to order an optical prescription.
Q: Can I submit Form HFS2803 electronically?
A: Yes, you can submit Form HFS2803 electronically if your eye care provider supports electronic submission.
Form Details:
- Released on May 1, 2008;
- The latest edition provided by the Illinois Department of Healthcare and Family Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form HFS2803 (IL478-1530) by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
